• Work-life balance with flexible working hours of 7 hours per day, Monday to Friday (i.e., 35 hours per week).
• Paid vacation starts at 3 weeks per year, and increases with years of service.
• Hybrid work environment (i.e., a combination of work from office and work from home days).
• Generous benefits, including extended health, dental, and life insurance; these benefit premiums are 100% paid by PBC.
• Company pension contributions after 1 year of service.
• Education allowance up to $1,000 per calendar year.
• Onsite gym, cafeteria, and access to virtual doctors/counsellors 24/7 via our Employee Family Assistance Program!

• We are searching for 1 Temporary Disability Claims Specialist to join our Work and Wellness team.
• This position is unionized and part of the CUPE 1816 Bargaining Unit. This position is paid at hourly rates and receives wage increases in accordance with the Collective Agreement. The starting wage for this position is: $35.85 per hour.

• reviewing, analyzing, and investigating claims and history/conditions of claimants to determine eligibility information from a variety of sources as well as requesting and documenting additional information as required.

• interpreting and applying contract wording, medical documentation, claims policies and procedures, statutory requirements and other guidelines affecting valuation and disposition of short-term disability claims.

• initiating regular telephone contact with claimants, policy-holders, employers, doctors, lawyers, brokers, third parties and other stakeholders in the disability claims process to gather additional information, including the application of appropriate questioning techniques to obtain information determining level of functioning, determining status of accommodation, and return-to-work options.

• planning the content of and composing a variety of written correspondence and documents which adhere to the established standards of business communications and internal style guidelines.

• adjudicating claims including keying claims data into claims processing systems, documenting all contacts made and actions taken, processing payments, providing claim updates, and maintaining files. Referring claims to other internal or external disability stakeholders where intervention or case management is required.

• acting as liaison with Finance on third party claims to ensure overpayments are identified and followed up, or on an occasional basis, manually calculating amounts owing based on policy provisions.

• identifying and calculating amounts for recovery where Work Safe benefits, other sources of income/benefits, motor vehicle accidents prior to 2019, or earlier than expected return to work have or may result in overpayment; communicates recovery amounts and expectations for repayment to all affected parties, and follows up to ensure collection.

• verifying salary and setting up tax and other applicable deductions.

• verifying initial payment dates and related offsets.

• entering claimant notes for inclusion on the Explanation of Benefits (EOB).

• monitoring gradual return to work dates and identifying impacts on payments.

• monitoring pending garnishees and adjusting payments as required.

• setting up auto payments for approved future payment dates.

• making payment adjustments in accordance with policy.

• communicating with stakeholders to update their information and the claim as required.

• High school graduation, or equivalent.
• Completion of a 1-year Disability Management Diploma (288 hours), or equivalent.
• Demonstrated proficiency in basic Word and Excel.
• Typing skills of 40 wpm.
• 2 years of previous related experience, including 1 year in a Disability Claims Administrator, W&W or Benefit Representative, EHC/Dental positions, or equivalent.
• Demonstrated decision making and critical thinking skills.
• Demonstrated oral/written communication skills.